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This apparent paradoxconcerns about testosterone reduction versus evidence of testosterone elevationreflects the complex relationship between body weight, metabolic health, and hormonal balance rather than a direct drug effect on testosterone production

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It also makes the vial harder to access cleanly when drawing doses

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doi: 10.1016/j.peptides.2019.170213 13 ZhangYParajuliKRFavaGEGuptaRXuWNguyenLUet al